Are computed tomography images of the mandible useful in age and sex determination? A forensic science meta-analysis.

L Munhoz, S Okada, M Hisatomi, Y Yanagi, E S Arita, J Asaumi
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Abstract

Objectives: This meta-analysis addresses the use of mandibular computed tomography (CT) scans for age and/or sex determination in forensic science.

Methods: Six databases were searched until June 2023, using the keyword "mandible" combined with keywords related to "multislice computed tomography" (MCT) or "cone-beam computed tomography" (CBCT) and keywords related to "skeletal age determination" or "sex determination analysis."

Main results: Among the 23 studies included, 11 used MCT and 12 used CBCT to perform forensic assessments. Age determination was the aim of a single study, sex and agedeterminations were the objective of five studies, and the other studies investigated the determination of sex only. Metaanalysis could be performed only for sex determination.

Conclusions: Mandible measurements are useful in sex determination, as the bicondylar and bigonial breadth are larger in males than in females. For the mandible angle, the meta-analysis results confirm sex dimorphism in CBCT scans but not in MCT scans. For age estimation, further studies are needed to prove that the mandible hole is a reliable parameter for age estimation. PROSPERO registration number: CRD42021260967.

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下颌骨计算机断层扫描图像是否有助于确定年龄和性别?法医学荟萃分析。
目的本荟萃分析探讨了在法医学中使用下颌骨计算机断层扫描(CT)确定年龄和/或性别的问题:方法:使用关键词 "下颌骨",结合与 "多层计算机断层扫描"(MCT)或 "锥束计算机断层扫描"(CBCT)相关的关键词,以及与 "骨骼年龄测定 "或 "性别测定分析 "相关的关键词,检索了六个数据库,检索期至2023年6月:在纳入的 23 项研究中,11 项使用 MCT,12 项使用 CBCT 进行法医评估。年龄测定是一项研究的目的,性别和年龄测定是五项研究的目的,其他研究只调查了性别测定。只有性别鉴定可以进行元分析:下颌骨测量有助于性别鉴定,因为男性的双髁状突和大髁状突宽度大于女性。在下颌角方面,荟萃分析结果证实了 CBCT 扫描中的性别二态性,但在 MCT 扫描中却没有。在年龄估计方面,还需要进一步的研究来证明下颌骨孔是一个可靠的年龄估计参数。PROSPERO 注册号:CRD42021260967。
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来源期刊
Journal of Forensic Odonto-Stomatology
Journal of Forensic Odonto-Stomatology Medicine-Pathology and Forensic Medicine
CiteScore
1.20
自引率
0.00%
发文量
14
期刊介绍: The Journal of Forensic Odonto-Stomatology is the official publication of the: INTERNATIONAL ORGANISATION FOR FORENSIC ODONTO-STOMATOLOGY (I.O.F.O.S
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